« previous next »

Author Question: A patient with bipolar disorder has been prescribed valproate. What precautions should the nurse ... (Read 28 times)

PhilipSeeMore

  • Hero Member
  • *****
  • Posts: 561
on: Jul 19, 2018
A patient with bipolar disorder has been prescribed valproate. What precautions should the nurse explain to the patient as a result of possible drug interactions?
 
  1. Taking valproate with clozapine decreases the effect of valproate.
  2. Taking valproate with antacids can result in toxic levels of valproate.
  3. Taking valproate with aspirin can result in toxic levels of valproate.
  4. Taking valproate with lithium decreases the effectiveness of lithium.

Question 2

A patient is complaining of being unable to get to sleep. There is a PRN order for temazepam. What should the nurse do? Select all that apply.
 
  1. Check the PRN protocol.
  2. Assess the patient's need.
  3. Assess the patient's safety.
  4. Review the patient's diagnosis.
  5. Explore the patient's expectations.


jgranad15

  • Sr. Member
  • ****
  • Posts: 345
Reply #1 on: Jul 19, 2018
Answer to Question 1

Answer: 3
Explanation: Aspirin can increase the free concentration of valproate and result in toxic drug levels. Antacids, lithium, and clozapine have not been noted to have any significant interactive effect with valproate.

Answer to Question 2

Answer: 1, 2, 3
Explanation: The PRN order should specify the signs and symptoms, maximum daily dosage, and any specific instructions. The nurse should check the order and assess the patient's need and safety before administering any PRN medication. Although discussing expectations with the patient may be helpful, this is not a necessary part of PRN administration. Reviewing the patient's diagnosis is not part of the PRN protocol.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

The most common childhood diseases include croup, chickenpox, ear infections, flu, pneumonia, ringworm, respiratory syncytial virus, scabies, head lice, and asthma.

Did you know?

Many supplement containers do not even contain what their labels say. There are many documented reports of products containing much less, or more, that what is listed on their labels. They may also contain undisclosed prescription drugs and even contaminants.

Did you know?

The first monoclonal antibodies were made exclusively from mouse cells. Some are now fully human, which means they are likely to be safer and may be more effective than older monoclonal antibodies.

Did you know?

All patients with hyperparathyroidism will develop osteoporosis. The parathyroid glands maintain blood calcium within the normal range. All patients with this disease will continue to lose calcium from their bones every day, and there is no way to prevent the development of osteoporosis as a result.

Did you know?

Giardia is one of the most common intestinal parasites worldwide, and infects up to 20% of the world population, mostly in poorer countries with inadequate sanitation. Infections are most common in children, though chronic Giardia is more common in adults.

The nurse is using Standard Precautions to draw blood. The nurse is using Standard Precautions to draw blood.
Signs and symptoms of a patient with heart failure. Signs and symptoms of a patient with heart failure.
Patient wearing an abularm Patient wearing an abularm
For ice massage, ice is frozen in a cylindrical container or a paper cup (A). The top half of the cu For ice massage, ice is frozen in a cylindrical container or a paper cup (A). The top half of the cu
Foley catheter with balloon in the bladder of a male patient. Foley catheter with balloon in the bladder of a male patient.
Instructing a Patient to Use Crutches Correctly Instructing a Patient to Use Crutches Correctly
Video: Red alga life cycle Animation

For a complete list of videos, visit our video library